NPIMap

Organization Active NPI

Somervell County Hospital District

Doing business as Glen Rose Nursing and Rehab Center

  • Skilled Nursing Facility
  • Glen Rose, TX
National Provider Identifier
1407190903
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOMERVELL COUNTY HOSPITAL DISTRICT
Doing business as
Glen Rose Nursing and Rehab Center
Practice address
1019 Holden St
Glen Rose, TX 76043-4937
Phone
(254) 897-2415
NPI assigned
Nov 21, 2012
Last updated
Sep 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SOMERVELL COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael David Honea
Title
Ceo
Phone
(254) 897-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1019 Holden St
Glen Rose, TX 76043-4937

Mailing address

PO Box 7300
Glen Rose, TX 76043-7300
Phone (817) 578-7344

Other identifiers 1

IdentifierTypeStateIssuer
004860OtherTXFACILITY ID

Other names 1

  • Glen Rose Nursing and Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210607001916 TX Part A Provider - Skilled Nursing Facility 7214161090 Practice locations: Glen Rose, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407190903. Details of each certification follow.

Skilled nursing facility certification: CCN 675572

Legal name
SOMERVELL COUNTY HOSPITAL DISTRICT
Doing business as
GLEN ROSE NURSING AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 22, 1996
Last certification
Oct 10, 2024
Beds
118
Ownership / control type
Hospital District
Multi-facility organization
TGR Healthcare
Organization structure
GovernmentNon-profit
Enrollment address
1019 Holden St
Glen Rose, TX 76043-4937
Nursing home name
GLEN ROSE NURSING AND REHAB CENTER

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glen Rose Nursing and Rehab CenterCCN 675572 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Mar 22, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11888.7 residents per day on average
Penalties (3 years)
2Fines totaling $17,128

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Somervell County Hospital District3 organizations share this tax ID, including this one
Part of
Somervell County Hospital District

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1019 Holden St
Glen Rose, TX 76043
Phone (254) 897-1429

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian K Thomas Individual Operational/Managerial ControlManager May 1, 2021
Daniel Whitehead Individual W-2 Managing EmployeeAdministrator May 1, 2021
Michael Honea Individual Corporate OfficerCeo May 1, 2021
Glen Rose Nursing and Rehabilitation, LLC Organization, Glen Rose, TX LLC Operational/Managerial Control May 1, 2021
Somervell County Hospital District Organization, Glen Rose, TX 5% Or Greater Direct Ownership Interest May 1, 2021 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1407190903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7300",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760437300",
            "telephone_number": "817-578-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 HOLDEN ST",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434937",
            "telephone_number": "254-897-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVELL COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMERVELL COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2012-11-21",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "HONEA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-897-1422"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "004860",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Rose Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glen Rose Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Rose, TX

Sources for this page

Verify at the official NPI Registry.